WO2008042936A2 - Système et procédé de sélection d'un coloris de dents et/ou style destiné à restaurer une pluralité de dents naturelles, d'implants ou de prothèses dentaires afin d'apporter une modification de coloris et/ou de style à la dentition existante - Google Patents
Système et procédé de sélection d'un coloris de dents et/ou style destiné à restaurer une pluralité de dents naturelles, d'implants ou de prothèses dentaires afin d'apporter une modification de coloris et/ou de style à la dentition existante Download PDFInfo
- Publication number
- WO2008042936A2 WO2008042936A2 PCT/US2007/080262 US2007080262W WO2008042936A2 WO 2008042936 A2 WO2008042936 A2 WO 2008042936A2 US 2007080262 W US2007080262 W US 2007080262W WO 2008042936 A2 WO2008042936 A2 WO 2008042936A2
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- WIPO (PCT)
- Prior art keywords
- shade
- tabs
- dental
- teeth
- style
- Prior art date
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/10—Supports for artificial teeth for transport or for comparison of the colour
Definitions
- the present invention relates to a system and method for selecting a tooth shade and/or style for the restoration of a plurality of natural, implant or denture teeth to make a shade and/or styie change from existing dentition
- the invention relates to a system and method for use in dental procedures, and particularly to a system and method in the form of a multiple tooth, shade and/or style guide for determining a desired shade and/or style change, to be used in the fabrication of a veneering or covering with porcelain or acrylic veneers, porcelain or acrylic crowns, composite bondings or bleaching of more than one, natural, implant or denture teeth.
- the primary purpose of all of the existing dental shade guides to date is to guide the dental technician of a dental laboratory as to the shade when fabricating a dental restorative to match and blend-in to the shade of the existing dentition Standard dental shade guides contain a set of shaded sample teeth, each tooth individually shaded and labeled according to the dental shades known tn the dental industry These sample shaded teeth are all constructed in the form of one known tooth, i e the central incisor. As such, one can envision a set of 16 or more central incisors, held in a container, with each central incisor shaded and labeled with one of the shades common in the dental industry.
- the dental professional will utilize the standard dental shade guide in the following manner A sample tooth form from the dental shade guide will be selected, held up and adjacent to the natural or artificial teeth of a patient, in an effort to guide the dental professional to convey to the dental technician when a dental restoration is needed, in the selection of a dental shade to match and blend-in to the existing dentition.
- the dental professional will select a series of sample tooth forms, in differing shades until a dental shade is believed to match and blend-in to the existing dentition. This shade will then be conveyed to the dental technician in the dental laboratory and a restoration is fabricated.
- Modern day dentistry has evolved in such a way that dental patients are now requesting dental restorations to be placed electively in an effort to change the shade of their existing dentition. This trend is commonly known as a dental makeover.
- the typical dental makeover involves dental restorations to be placed over, on, or in a plurality of teeth. In most cases six or more teeth will be treated.
- the standard dental shade guide is ineffective in demonstrating a shade change to the patient.
- the dental patient as well as the dental professional will never get a true picture of a makeover shade by simply holding one sample shaded central incisor tooth form up and adjacent to their teeth while looking in a mirror.
- the usual procedure for determining a desired shade to be used in the fabrication of a veneering, crowning, or bonding of natural, implant or denture teeth is to choose a single shade tab from a selection of numerous tabs of simulated teeth, in shades that are commonly accepted in the dental profession and hold it up and adjacent to ones natural, veneered, crowned, composite bonded, bleached, implant or denture teeth.
- Figure 1 shows an example of one commercially available system in which each shade tab is provided with indicia to identify the desired shade.
- the field of modern day dentistry has evolved to a point where dental patients are now requesting dental restorations to be placed electively in an effort to change the shade and/or style of their existing dentition.
- This trend is commonly known as a dental makeover.
- the typical dental makeover involves dental restorations to be placed over, on, or in a plurality of teeth. In most cases six or more teeth will be treated.
- the standard dental shade guide is ineffective in demonstrating a shade/style change to the patient.
- the dental patient as well as the dental professional will never get a true picture of a makeover shade/style by simply holding one sample shaded/styled tooth form up and adjacent to their teeth while looking in a mirror.
- a shade/style guide that contains samples of dental shades/styles in the form of a shade/styie tab of six anterior or front teeth, is needed in the shades/styles known in the dental industry, to better provide the patient and dental professional with a true picture of a shade and/or style change of a plurality of teeth.
- the patient and dental professional will have the opportunity to sample various denta! shades and styles as a group of six teeth as opposed to only one. This will give the patient and dental professional an opportunity to select a dental shade and style that fits them more appropriately, to their facial complexion, gingival, or gum color.
- Shades can include, but not limited to, VITA shades OM1 , 0M2, 0M3, Al, A2, A3, A3.5, A4, Bl, B2, B3, B4, C I , C2, C3, C4, D2, D3, D4, as well as, other shades existing presently or in the future to be developed and styles to include, but not limited to, square, round, tapered, ovoid and other styles existing presently or to he developed in the future.
- the set of tabs can include a means for holding in front of a patients dentition, such as a handle or stick or projections, or alternatively, temporarily stuck or stabilized on the dentition by orthodontic wax, for viewing by the patient.
- a means for holding in front of a patients dentition such as a handle or stick or projections, or alternatively, temporarily stuck or stabilized on the dentition by orthodontic wax, for viewing by the patient.
- the present invention comprises a disposable set of tabs, preferably 6 in number, bounded or bonded together in a flexible or non-flexible manner, the tabs constituting acrylic, or other material, appliques of simulated teeth, shaded and/or styled, which when held up and against the dentition in the mouth or releasably attached to the front surface of the existing dentition by means of an orthodontic wax coated on the back of the set of tabs acting as a stabilizer, will cover over multiple teeth, displaying a sample shade and/or style change.
- the method of the invention comprises sampling a plurality of such disposable sets of tabs of various shades and/or styles to help guide in selection and in the fabrication of the placement and/or replacement of multiple porcelain or acrylic veneers, porcelain or acrylic crowns, composite bonded, denture, or implanted teeth,
- Fig. 1 shows a prior art method of selecting a shade guide.
- Fig. 2A shows the upper and lower front teeth in which the patient desires a shade improvement and/or change.
- Fig. 2B shows a six-tooth shade set of tabs for use as a shade guide according to the present invention.
- Fig. 2C shows the set of tabs placed over the upper front teeth of a patient
- Fig. 3A shows a "before" picture, off the patient's existing upper and lower front teeth.
- Fig. 3B shows a sample twelve-tooth shade set of tabs.
- Fig. 3C shows the set of tabs being placed over the existing upper teeth.
- Fig. 3D shows the "after" picture, with the set of tabs covering the existing upper front teeth.
- Fig. 4B shows another embodiment of a ten-tooth shade set of tabs, with Fig. 4A being the existing teeth.
- Fig. 4B shows the shade set of tabs, in place over or covering the existing dentition.
- Fig. 5 shows an example of a roll that includes multiple sets of tabs.
- Fig. 6 shows a set of tabs being placed in a patient's mouth with positioning of the set of tabs being aided and held by projections.
- Fig. 7 shows a set of dental shade evaluating tabs on a sheet. Each set is 40 - 60 mm in width and 8 - 15 mm in height. Each set is of a different shade.
- Fig. 8 shows a set of dental style evaluating tabs.
- Fig. 9 shows a dispenser for a roll containing sets of tabs, all of one shade, per roll.
- Fig. 10 shows a group of dispensers mounted in common in a container.
- Figures 2A-2C show an embodiment of a set of acrylic tabs comprising a six-tooth shade device identified as Example 1. Although the six-tooth shade set of tabs is preferred, and was selected based on the patient's needs and desires in consultation with the dental practitioner, a set of tabs comprised of a different number can be used.
- Figure 2A shows the upper and lower front teeth in which the patient desires a shade improvement and/or change.
- Figure 2B shows the six teeth shade set of tabs before it is removed from a backing on which it is mounted.
- the set of tabs is made of acrylic and its front surface is provided with the tabs of six teeth.
- the acrylic tabs have the desired shade and style such that when the shade/style sampler is placed in the patient's mouth and held up and adjacent to the patient's teeth, or temporarily stuck or stabilized on the teeth by an orthodontic wax, the patient and dental practitioner can observe the selected shade and style in true context.
- the back surface of the six tooth shade set of tabs is provided preferably with a coating of orthodontic wax for temporary attachment and removal from the teeth.
- Figure 2C shows the set of tabs placed over the upper front teeth of the patient, thereby allowing the set of tabs to be viewed in true context by the patient and dental practitioner. Similar shaded or styled sets of tabs can be designed to cover over the lower teeth.
- Figures 3A-3D show another embodiment (identified as Example 2) of a twelve tooth shade set of tabs.
- Figure 3A is the "before" picture, with the patient's existing upper and lower front teeth.
- Figure 3B shows the sample twelve tooth shade set of tabs and
- Figure 3C shows the set of tabs being placed over the existing upper teeth.
- Figure 3D is the "after" picture, with the set of tabs covering the existing upper front teeth.
- Figures 4A and 4B show another embodiment of a ten tooth, shade set of tabs, with Figure 4A being the existing teeth and Figure 4B being the shade set of tabs, in place over, covering, or in front of the existing dentition.
- the shade set of tabs with acrylic faces, or other material preferably is thin and flexible so that it can bend to the general contour of the existing teeth
- the shade/styie tab can be non-flexible as well, but will still serve the same purpose
- the back surface can contain a coating of orthodontic wax for temporary attachment and removal from the existing teeth, i e a stabilizing agent
- Such orthodontic waxes are generally well known to those of ordinary skill in the art
- the set of tabs can be placed on a backing so that the orthodontic wax is covered and protected prior to use
- the set of tabs can he provided without orthodontic wax and the practitioner places the orthodontic wax on the back surface of the set of tabs prior to use
- the orthodontic wax can be similar to double sided tape As the mouth is a moist environment, the orthodontic wax should be selected to be applicable to such conditions If desired the practitioner can wipe or dab (or direct a flow of air or other gas) at the surface of the teeth prior to placing the shade/
- the invention can take the form of a set of tabs (acrylic), or other mate ⁇ al(s), that simulate(s) two or more adjacent teeth that can be mounted on or held before a row of teeth in a person's mouth.
- the set of tabs can be carried on a release paper via orthodontic wax, and can be removed easily from the release paper with the orthodontic wax intact on the back of the tab, so that the set of tabs can be adhered to a row of teeth
- orthodontic wax can be placed on the set of tabs after removal from the release paper on which it is mounted
- the set of tabs of simulated teeth can be one of a series of like sets mounted in common on a sheet of release paper, as in an array, or on a roll of release paper
- Figure 5 shows an example of such a roll that includes multiple sets of tabs
- Fig 6 shows the positioning of a set of tabs in a patient's mouth being aided by projections as will hereinafter be detailed.
- Alternative forms of the invention include using a set of tabs on a substrate that has a margin or edge extending either above or below the set of tabs of simulated teeth.
- the margin can be inserted between the lip and the gum to hold the set of tabs in place in the mouth, with or without orthodontic wax.
- both the set of tabs of simulated teeth and the margin are protected by a covering, such as release paper, to maintain sterility.
- Still another form of the invention involves a set of simulated teeth that has projections that can be extended to the rear so that they can be fitted between teeth to hold the tab in position, obviating any need for orthodontic wax.
- a projection(s) extends from the free edge of one (or a plurality) of the set of tabs of simulated teeth, it (they) can wrap around a tooth (teeth) and adhere to the rear surface(s) of the tooth (teeth), via orthodontic wax to hold the tab in place, As shown in Figure 6, these projections aid in positioning the tabs.
- a shade guide is used as an apparatus and method for the sole purpose of affording the dental care provider an ability to compare the differing dental shades from the commonly accepted dental shades found in a standard dental shade guide in an effort to place a varying selection of shades, up and adjacent to the natural teeth to compare and contrast a selection of dental shades in context with the gums, lips and facial complexion in a manner similar to the use of a standard dental shade guide.
- the chosen/selected shade will then be conveyed to the dental laboratory in the same manner as is when the standard dental shade guide is utilized, i.e. to inform the dental technician of a chosen dental shade to be used for the fabrication of dental restorations.
- standard dental shade guides are fabricated out of acrylic tooth forms in the approximate size of the normal tooth form and shape. All existing dental shade guides are fabricated in only one tooth form, typically a central incisor. The method by which they are used is to select a single tooth form in one selected shade from an array of many differing dental shades and hold it up and adjacent to the natural or restored tooth of a patient in an effort to select/find an appropriate dental shade to match and blend in to the shade of the existing teeth.
- This selected dental shade is one of a selection of the commonly accepted dental shades in the industry.
- This selected shade, that matches the existing teeth will then be conveyed to the dental lab in an effort to fabricate a dental restoration to match the existing dentition.
- This is the purpose of all the various existing dental shade guides that is, for the sole purpose of selecting a dental shade when a dental restoration is needed, in order to match it to the rest of the teeth in the mouth.
- the shade guide according to the present invention is designed differently from all of the existing standard dental shade guides.
- This new shade guide could be in the form of a kit containing a collection of sets of dental shade evaluating tabs.
- Each of the sets of tabs can be made of acrylic, or other material; is 0.3-0.7 mm in thickness; and is made of tabs for two or more teeth to simulate the true natural array of teeth ⁇ e.g. central and lateral incisors, cuspids, premolars, and molars), in a group, all in the same shade, connected to each other side by side, as in the actual normal tooth forms to look like the upper or lower; front, side, and/or rear teeth as a group.
- the sets of tabs will be sized to the average respective tooth sizes as commonly known in the dental industry.
- the shade evaluating sets of tabs will be bendable. yet non-resilient, to be able to conform to the extrados of the teeth. They will each contain ribbons or projections extending off of each end of the evaluating set of tabs.
- the projections are clear acry ⁇ c.
- the projections will be used to aid the dentist in holding the evaluating set of tabs, and could contain indicia of the shade of each evaluation set of tabs. These projections will afford the dentist the ability to hold each evaluating set of tabs up and against a patient's teeth in an effort to sample each shade being evaluated. Differing dental shades can then be evaluated in succession to search for a shade change from the existing dentition.
- Figure 7 shows a set of dental shade evaluating set of tabs SOT on a sheet S.
- Each set of tabs SOT has the lateral projections described above and the projections include the indicia noting the shade.
- the present invention also includes variations of these dental shade guides.
- there will be a set of two tabs for two teeth e.g. two central incisors set side by side and connected to each other, having a distinct dental shade that matches exactly the dental shades that are already accepted and known in the dental industry.
- This group of two central incisors will come in a set with each pair of central incisors to contain a shade that is similar to the shades that are found in the existing standard dental shade guides in the dental industry today.
- these are used for the sole purpose of guiding the dentist in the selection of a dental shade in order to make a change to the existing dentition. Not for the purpose of matching or blending in to any of the existing dentition.
- This embodiment will allow the dentist to compare and contrast the differing choices of dental shades while holding it up and adjacent to the existing dentition, to visualize it in context with the gums, lips and facial complexion.
- the sets of tabs for the tooth forms will be positioned, side by side, to allow the set of tabs to be bendable at the seams to be able to place the shade guide up and adjacent/against the existing teeth to compare a selection of differing dental shades in context, and then, to choose a dental shade that is different from the patient's existing shade of their teeth.
- the selected dental shade will then be conveyed to the dental lab in an effort to guide the dental technician as to the selected shade to be used in the fabrication of a dental restoration after a thorough review of many differing dental shades, which were viewed in context whiie being held up to and adjacent to the natural teeth.
- this set of tabs for the tooth forms of this new dentai shade guide can include a stabilizing agent (as an alternate or in addition to adhesives, preferably orthodontic wax, previously noted) on the back of it for the sole purpose of helping to stabilize the shade guide tooth forms, whiie it is being held up and against the natural teeth.
- a stabilizing agent as an alternate or in addition to adhesives, preferably orthodontic wax, previously noted
- One of the substances that can be utilized is a safe, commonly accepted in the dental profession, orthodontic wax. This wax is typically used to stick on the teeth especially when a patient has orthodontic brackets attached to their teeth. This wax covers over the bracket to help protect the oral tissue from irritation from the sharp brackets.
- This new dental shade guide is to be placed on the back of the set of tabs to simply help stabilize the tabs while it is being viewed by the dentist during the shade selection appointment.
- the orthodontic wax is sticky enough to stick to the back of the tab in a stronger manner than it will stick to the teeth which are usually wet.
- the wax can stick to the teeth, stabilizing the tab when it is pressed against the natural teeth by the dentist.
- the wax will deform and/or flow in between the teeth just enough to help stabilize the tab while it is viewed by the dentist during the shade selection appointment.
- the wax is sticky enough to aid in this process while it is also resilient enough to spring back, detaching from the teeth to allow the dentist the ability to try on another selected shade tab while choosing the appropriate shade in which to convey to the dentai tab for the sole purpose of a shade change in the fabrication of dentai restorations.
- this new dental shade guide will be set up in a manner to be easily dispensed on rolls, see Fig. 9, with a group of two, four, six or more sets of tabs as tooth forms, for a dental shade/style evaluation, set side by side, in one shade, repeated over and over on the roll, easily removed from the roll, and then a roll next to it in another shade and so on with many rolls of differing dental shades all held in a large dispenser encompassing many rolls as a dental shade guide dispenser, with each roll containing shades which are commonly accepted by the dental industry In this way, one dentai shaded group of tooth forms can be removed from its roll, placed against the teeth for a shade sampling in context, viewed by a dentist and then disposed of.
- the system and method can be used as a style guide.
- this same dental shade guide can be designed to be used to aid in the selection of the commonly accepted styles of teeth to be selected by a dentist and conveyed to the dental technician to guide in the fabrication of dental restorations
- These same dental shade evaluating sets of tabs can be designed in square, round, tapered, ovoid, and other styles, see Fig 8 showing strip T with sets of tabs thereon having projections with indicia indicating the shape of the simulated tooth forms, square T1 , ovoid T2, round T3 and tapered T4.
- the evaluating tabs that come in a kit will ail be of one shade, but will come in the various styles
- the shade guide/style guide kits will consist of many dental shade/style evaluating sets of tabs, each set of tabs made of acrylic, or some other material, in the form of a six tooth tab of the same shade/style, with or without orthodontic wax in a film thickness of 0.5-1 mm on the rear of the set of tabs
- Figure 8 shows a set of dental style evaluating sets of tabs.
- Each set of tabs has the lateral projections described above and the projections include the indicia noting the style
- the sets of tabs can be disposable to avoid cross contamination with another patient.
- the present invention envisions any number of means for dispensing the sets of tabs.
- Fig. 9 shows one example of such a dispenser.
- the dispenser D includes a roll of sets of tabs.
- the roll can include an indicator near the end of the roll informing the user that a new roll is soon needed. This indicator can include re-ordering information.
- the tabs on the roll can be continuous without any additional packaging (as in Figure 5) or can be individually packaged on a continuous roll. The roll can come with perforations between the tabs (or tab packages).
- the slot through which the strips are dispensed can include teeth to facilitate separation. Furthermore, the slot can include some type of seal to prevent contamination of the roll of tabs.
- Fig. 10 shows that a kit can contain a plurality of dispensers, each dispenser including sets of tabs of a given shade. In this manner, the dental practitioner can select an initial shade to start with and then conveniently make additional samplings.
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Abstract
La présente invention concerne un nuancier comprenant un ensemble allongé de deux languettes en acryliques, ou en un autre matériau, permettant de simuler des dents d'un coloris et/ou style présélectionné. Les languettes sont montées ensemble côte à côte. L'ensemble de languettes est souple et peut se plier suivant une forme adaptée afin d'être inséré dans la bouche d'un patient et masquer sa dentition pour déterminer une modification de coloris et/ou de style souhaitée.
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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US82789306P | 2006-10-03 | 2006-10-03 | |
US60/827,893 | 2006-10-03 | ||
US95308007P | 2007-07-31 | 2007-07-31 | |
US60/953,080 | 2007-07-31 |
Publications (2)
Publication Number | Publication Date |
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WO2008042936A2 true WO2008042936A2 (fr) | 2008-04-10 |
WO2008042936A3 WO2008042936A3 (fr) | 2008-06-26 |
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PCT/US2007/080262 WO2008042936A2 (fr) | 2006-10-03 | 2007-10-03 | Système et procédé de sélection d'un coloris de dents et/ou style destiné à restaurer une pluralité de dents naturelles, d'implants ou de prothèses dentaires afin d'apporter une modification de coloris et/ou de style à la dentition existante |
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WO (1) | WO2008042936A2 (fr) |
Cited By (9)
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US8622952B2 (en) | 2009-03-27 | 2014-01-07 | Bing Innovations, Llc | System and method for pain reduction during skin puncture and breakable tip therefor |
US8668664B2 (en) | 2004-09-20 | 2014-03-11 | Bing Innovations, Llc | Method for reducing pain during skin puncturing procedures |
US9168340B2 (en) | 2009-03-27 | 2015-10-27 | Bing Innovations, Llc | System and method for pain reduction during skin puncture and breakable tip therefor |
US9463287B1 (en) | 2004-09-20 | 2016-10-11 | Bing Innovations, Llc | Controlling usage of replaceable tool ends |
US9539171B2 (en) | 2007-03-19 | 2017-01-10 | Bing Innovations, Llc | Apparatus for reducing pain during skin-puncturing procedures |
EP2964137A4 (fr) * | 2013-03-07 | 2017-07-05 | Dental Lab Aesthetics, LLC | Dispositif et système pour applications dans le domaine dentaire et procédé associé |
WO2017184402A1 (fr) * | 2016-04-22 | 2017-10-26 | Awad Tony Joseph | Système de bourrelets d'occlusion de dentier avec dents de réplique |
US10695508B2 (en) | 2015-05-01 | 2020-06-30 | Bing Innovations, Llc | Reducing pain of skin piercing using vibration |
CN113995540A (zh) * | 2021-11-11 | 2022-02-01 | 四川大学 | 一种牙科漂白导板及其制备方法 |
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Cited By (11)
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US8668664B2 (en) | 2004-09-20 | 2014-03-11 | Bing Innovations, Llc | Method for reducing pain during skin puncturing procedures |
US9463287B1 (en) | 2004-09-20 | 2016-10-11 | Bing Innovations, Llc | Controlling usage of replaceable tool ends |
US9675766B2 (en) | 2004-09-20 | 2017-06-13 | Bing Innovations, Llc | Method for pain-reducing skin puncture |
US9539171B2 (en) | 2007-03-19 | 2017-01-10 | Bing Innovations, Llc | Apparatus for reducing pain during skin-puncturing procedures |
US8622952B2 (en) | 2009-03-27 | 2014-01-07 | Bing Innovations, Llc | System and method for pain reduction during skin puncture and breakable tip therefor |
US9168340B2 (en) | 2009-03-27 | 2015-10-27 | Bing Innovations, Llc | System and method for pain reduction during skin puncture and breakable tip therefor |
EP2964137A4 (fr) * | 2013-03-07 | 2017-07-05 | Dental Lab Aesthetics, LLC | Dispositif et système pour applications dans le domaine dentaire et procédé associé |
US10695508B2 (en) | 2015-05-01 | 2020-06-30 | Bing Innovations, Llc | Reducing pain of skin piercing using vibration |
WO2017184402A1 (fr) * | 2016-04-22 | 2017-10-26 | Awad Tony Joseph | Système de bourrelets d'occlusion de dentier avec dents de réplique |
CN113995540A (zh) * | 2021-11-11 | 2022-02-01 | 四川大学 | 一种牙科漂白导板及其制备方法 |
CN113995540B (zh) * | 2021-11-11 | 2022-07-01 | 四川大学 | 一种牙科漂白导板及其制备方法 |
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